A patient was 71-year-old female. She was undergone a colostomy before 3 years ago because of colono-vaginal fistula causing diverticulitis of sigmoidcolon.
She admitted for a closure of a colostomy. A colocolostomy was done using automatic anastomat circular stapler (PCEEA 25) . Ten days after operation, she was suffered from abdominal pain and distension, so diagnosed ileus for a obstruction of anastomosis by barium enema and colonoscopy.
Cecostomy was performed because a ileus tube was not effective. After a dilation of cecostomy, endoscopic treatment for a obstruction of anastomosis was planed. Firstly an endoscopy (XP-10) was inserted from cecotomy. Secondary an endoscopy (200HI) was inserted from anus. Aiming at light of oral side scopy, a center of a obstruction was cut using precutting knife through anal side scope. Following this cutting, anastmosis was dilated by a balloon dilator.
A obstruction of anastomosis after using automatic anastomat circular staplaer is very rare. We can not recognized a same case in the literature.
